1976, 06-30 Permit App: L4549 ResidenceCounty of Spokane, Washington
BUILDING CODES DEPARTMENT, N. 811 JEFFERSON, SPOKANE, WASHINGTON 99201
APPLICATION FOR LAND USE OR STRUCTURE PERMITS� (7,6
GENERAL REQUIREMENTS PERMIT FEE ._=I
PERMIT REQUIRED. A land use or structure permit is required by County Resolution to erect a building or structure of any
kind or alter any building or structure already erected, or to change a land use. Construction must conform with the
Spokane County Building Code and Zoning Ordinance. Construction is subject to inspection.
WATER. Water supply must be approved by the County and State Health Departments. Where work on water connections disturbs
the surface, shoulders or ditches of County Roads, permission must be obtained from the County Engineer's Office.
SEWAGE SYSTEM. Permits are required in all cases by County Resolutions Nos. 45-133 and 47.235.
SET -BACK FROM PROPERTY LINES. In most zones and under most circumstances, a set -back from the front property line, of at
least 25' is required, a 5' side yard, 15' side yard from a flanking street, and a 25' rear yard are required.
STATE HIGHWAYS. Where the structure abuts a State Highway, clearance must be obtained pertaining to set -back and ingress
and egress.
COUNTY ROADS. Work on street right-of-way may not be performed until staked by County Road Department and work must be
performed in accordance with stakes. Points of ingress and egress must be approved by the County Engineer.
M VING OF BUILDINGS. A permit is required to move an existing building. When a building is moved on a County or State
H ghway, clearance must be obtained from the County Engineer and/or State Highway Department.
A CESSORY BUILDINGS. Accessory buildings (garages, sheds, etc.) require a separate permit.
R TRICTIVE COVENANTS. Builders should check provisions of covenants or dedications and easements running with the land
which are enforceable through civil action. County Officials can not bring action to enforce covenants or dedications.
APPLICANT FILL IN BELOW THIS LINE
/, 3Phone p2 r /� 7;
Name of Owner a '.��" �!.(►'t:�lrt�•r' Address '
Architect i Address Phone
Engineer Address CC� � Phone _ _
Contr9ctor `' C � Address rx,-1 V 7 .-` " q92673 Phone -n -34/-;-1-S2
Legal Description of Property (Give complete description from deed, tax receipt, etc) ��- A,-�.�^ . /'�` 6- ,2 —� z1C�t
I,/ 4 J gJ. z_ `e /1113- / �'�. 4iu
DESCRIPTION OF WORK: New �C Addition Remodel Moving BI. -. Zon / Fire Zo'1� �yry
Sewage System --� onst. ,\ i A , f•
-
Size of Lot qU t ,, 7 r
y *)(1°r �Ff., Con r., e '
StoriesDimensions�� rn ��� , / X `�/ �/1� /Xr�/ 1 Sq. Ft C� Valuatiot I�
Rooms Baths /yy Basement . fa oundak (my Const t%C~2t'li'�.Z Chimney Firep
( ull, part, none{ (A. •, A 4L /) , (Kind) (Number
Heat System 9 'A Type of Roofing __ 9 Ext. Finish �i C Li/ I Int. Wall Finish
ace
'9
Use of Bldg. ./11-&:1 �,�% �C�� /(-� � ktiz-L No. of Units _ Bedroom
PLOT PLAN
Draw sketch with dimensions showing: (1) property lines; (2) street or road locations; (3) location of existing and
proposed buildings; (4) distance to property lines and streets; (5) dimensions of buildings; (6) location o •ewa
tem and water supply lines.
m
NORTH RESIDENTIAL-OMMERCIAL
SOUTH
I hereby cert•fy information s tted is corr
as shown.
State L'cense No.
1. L-
In.. ns. Acct. No.
REQUIRED
Plumbing Permit
m Heating Permit
Sewage Permit
tr
Plans Received
Plans Checked
Plans Returned
Plans Picked Up
Plans Mailed
and there,are no other structures located on this . operty except
Owner or Agent Date
A LAND USE OR STRUCTURE PERMIT MUST BE ON THE PREMISES BEFORE CONSTRUCTION COMMENCES.
THIS IS NOT A PERMIT.
DO NOT WRITE BELOW THIS LINE
Tour street address will be
Sewage Permit Number
Remarks
L tip" kJ - C
/ 1/44/,) � i� The zone is " /
Issued Building Permi
Receipt Issued
Form 523 Bldg. Code
".• • :
- • , . ,
-
z
. ,
. '. , r
' ' ---i-- I , , •
..............--,- -; -.- : '
L.
--r-
-- -26
L_TAA
- 7 -
4
•
. Ci9 L V RO
y///4;7 s Coic t ion P/itv- .5 lot?
. /0 -1 6 /31..3: r a du e HI s
/-MScok- P.= 20'
• - ;
Z 0
'-'0